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Home My WebLink AboutTR-5957Alber~ J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction % constructed Project complete, compliance inspection. Board Of $outhold 'Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ~'~ DATE: .....~U:~Y~. :~.]:..t....~004 ISSUED TO ROBERTS CUSTOM HOMES ut'h rizati u Property location: 1500 Bay Ave., East Marion Pursuant to the provisions o{ Chapter 615 o[ the Laws of the State o{ New York, 1893; and ~apfer ~ o{ the ~ o{ the · State o{ New Yore 1952: and the Southeld To~n Ordinance t~ ."R~U~NG AND ~E P~CING OF OBSTRUC~NS IN AND ON TOWN WATERS AND PUBLIC ~DS and t~ REMOVAL OF SAND, G~VEL. OR O~ER MATERIA~.F~OM ~NDS UHDER TOWN WA~RS:~L and in ac~dan~ with ~e Resol~ion o~ ~e B~rd adopted afa meeting held ~ ...~.g~...~.~..~... g004 and in consideration of the sum of $ gso.00 paid by Roberts Custom Homes of ...... ~.~....~.~.YSE ...................................... N. Y. and subjecf fo the Terms and ~difi~s listed on the revere side ~f, . or.hold To~' T~es authorizes and eermi~ f~ foflo~nq: Wetian~ r~rm~t to const_uct a single-family dwelling wi~h associated sanitary system, with the condition of a 75' non- disturbance buffer,a line df staked haybales is placed do~ aim the 75' non-disturbance buffer prior to construction, and all a~ depictS, on th sur ' · · · ~e ~gi~tlng apostle. John T. bietzger last dated August 3, 2004. " IN W~S WH~R~, ~, *aid ~d ~J Tm~i~,J ~- ~u~s i~ ~r~ate ~al to be a~xed, and ~ ~s~h fo sub~ by ~ '~j~ of the sald ~ .as of thls date. ~_ie Fo~t~ . 1T:P S ,nd CONDmONS ~ ~_.' Roberts Custom I-lomes ~ ~t P.O. Box 372, Wading River .... .~. l~l. Y~ '~ ~' of ~he comld, emdoa loc the ksmsace of d~e l~-~o,k does umlemsml aud. ~ to the roi- ~,. Tlutt this pe~ff should be t~dned lmfe~mltely, or as long as tim ~ to *~.~m.!a the stx~:tu~ oc project involved, to ptx)vlde ettde~e to ~iyotte ~ tlxtt edzs. don was mi~lndly ~'vac~do~ of this mpo~ due ,mdee, to t~move o~ ~lte~ efts ~otk m project bem~ rated widmut equines to dm Town,' Albert J. Krupski, President James King, Vice-President Attic Fester Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 July 21,2004 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Ms. Vicki Toth P.O. Box 61 Shoreham, NY 11786-0061 RE: ROBERTS CUSTOM HOMES 1500 BAY AVE., EAST MARION SCTM#31-8-12.9 Dear Ms. Toth: The Board of Town Trustees took the following action during its regular meeting held on Thursday, July 21,2004 regarding the above matter: WHEREAS, Vicki Toth on behalf of ROBERTS CUSTOM HOMES applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated June 30, 2004, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 21,2004, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of ROBERTS CUSTOM HOMES to construct a single-family dwelling with associated sanitary system, with the condition of a 75' non-disturbance buffer, a line of staked hay bales is placed down along the 75' non-disturbance buffer pdor to construction, and all as depicted on the survey prepared by John T. Metzger last dated August 3, 2004. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $100.00 Very truly yours, Albert J. Krupski, Jr., President Board of Trustees AJK/Ims Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated reviewed by this Board at the regular meeting of q!,;ll O~. following action was taken: has been and the ( L,/) Application Approved (see below) (__.) Application Denied (see below) (__.) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: SIGNED: PRESIDENT, BOARD OF TRUSTEES Telephone (63 I) 765-1892 Tox~ Hall 53095Route 25 P.O. Box 1179 Southold, New York l1971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, July 13, 2004, the following recommendation was made: Moved by Don Wilder, seconded by Jack McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit application of ROBERTS CUSTOM HOMES to construct a two-story, single-family dwelling with associated septic system. Located: 1500 Bay Ave., East Marion. SCTM#31-8-12.9 Vote of Council: Ayes: All Motion Carried Albert J. Krupski, President James King, Vice-President Artie Fester Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~a;mstal Erosion Permit Applica~n ~"Wetland Permit Application ~- Major __ Waiver/AmendmenYCha~ges ~cei~ed Fee:$ ~O- - ~leted App~ ~Inco~lete ~SEQ~ Classification: T~e I T~e II U~isted Coordmation:(date se?ia --~AC Refegal Sent:~, ,~ C~ ~)~ ~te of Inspection:--~] [~ ~' ~Receipt of CAC Repom_ ~Lead Agency Dete~atinn: Tec~cal Review: --~lic Hearing Held:~~ Resolution: Minor "'"'"'~hold Town Board ~d Trustees (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Address: PO /~._~ V ~/ U / Phone: Board of Trustees Application Land Area (in square feet): Area Zoning:_ GENERAL DATA Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Agency __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ,,~ No Yes If yes, provide explanation: Project Description (use attachments if necessary): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Q.~, !h .r-~ ti ~.'~n(~ (2ri- ~o ~c~\-~ Area of wetlands on lot: square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: --2 S / feet Does the project involve excavation or filling? No ~,/ Yes If yes, how much material will be excavated? cubic yards How much material will be filled? ~) cubic yards Depth of which material will be removed or deposited: (~ feet Proposed slope throughout the area of operations:. ~ x~/~9~F)~ Manner in which material will be removed or deposited: 0,[~ ~0 ~42(2 L)6Cdd:~ Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): PROJECT ID NUMBER SEQR 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only 1. APPLICANT I SPONSOR 3.PROJECT LOCATION: L01~ ~,,~.~ ~._ M u nicip aIity ~O ~...'-~'~ ~ (~ PART 1 - PROJECT INFORMATION ( To be completed by Applicant or Project Sponsor) ~ 2. PROJECT NAME County 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide mad 5. IS PROPOSED ACTION: [] New [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially x~ 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [] Yes [] No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY' OF PROJECT? (Choose as many as apply.) {~Residential [~lndustrial []Commercial r~']Agriculturo r~Park/Forest/OpenSpace ]Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) []Yes ~ No It yes, list agency name and permit / approval: 11 DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~-~Yes ~7]No If yes, list agency name and permit I approval: 12. AS A I SULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I~;ER~Y THAT THE II~ORry~AtlON ,PROVIDED ABOVE IS TRUE TO THE BEST Of MY KNOWLEDGE Applicator / $P~~ '~'-'~'-'¥- ~-.~i~"~' ~'O Dale: If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. ~JYes E~No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. I---lYes E~No c. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1.Existing air quality, surface or groundwater quality or quantity, noise levels, existing traliqc pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic agricultural, archaeological, hlstonc or other natural or cultural resources or community or neighborhood character? Explain briefly C3. Vegetation or fauna~ fis~ ~h~tifish oi wii(~iife species, slgnitica~i'habitats, or threatened or endangered species? Explain briefly: I C4. A corn munity's' exi~tir~g pian~ o~ goal~ a~ officialiy adopted, or a chanflo'in'uso or iaten~i~ o~us~ of lan{i o~ other n'atural resources? ~xplain C5. Growth, subsequent de~elopmeni, or reiated activities likely to be induced l~y the prepo~eci action? Explein tiriefly: I C6. Long torml short term, ¢u~ulative, oroihereffecBnotidentifi~dinCl-C§? Expiainbriofly: ' I c7. ~ther impacts {inciuding ch~n~;~ in us; of ~ither qUa~tib~ o; typo of ener~)'? Exp,ain / D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA~? (tt yes. explain briefly: I ! E. iS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If )'es explain: E:::]Y°s E:::]N° I .......... PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidentifiedab~~e~determinewhetheritissubstantiai~~arge'imp~rtant~r~therwisesignific~nt~ Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irrevereibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed, ff question d of part ii was checked yes, the determination of significance must evaluate the potential iropact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or signlticant adverse impacts which MAY occur. Then proceed directly to the FULl EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed actio~ WILL NOT result Jn any signiflcanl adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi: determination. Name of Lead Agency Date Title of Responsible Officer Pdnt or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Signature of Preparer (It different from responsible officer) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS t~q4,~0[ ~ ~3¥ {Iq ? / _, being duly sworn, deposes and says that on the ~'~s44q day of 5~-L~{L/ ,200q, deponent mailed a true copy of the Notice set forth in the Board of Trhstees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ~Ocej, hO.D~ , that said Notices were mailed to each of said persons by ~) (registered) mail. Swom to before me this 'Day of -~Tbc~c~ , 20 SUSAN K TOOl(ER NOTARy PUBLIC, S~ale ol New York No. 01 TO5078 ~ 20 (,.~Ualified. . in Suffolk. _ · ,. T"°n'~'ss~°n Exp,res Ma, /~[ 2O~ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, \J' c.~C~ '--~ , residing at L(~::~::~ being duly sworn, depose and say: That ~ the ~ay o[~ [~ 200~ pergo~ally posted the propeay by p{acing the ~o~d df Trustees official poster where it ca~n easily be seen, ~d that I have checked to be s~e the poster h~ remained in place for ei~t days prior to the date of~e public he~g. Date of hemng noted thereon to be held Dated: (stgnature) ~/w t~ar ~ to% lfc ~e20m07is No,fy Public Board of Trustees Application County of Suffolk State of New York DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID ]~ERMIT(S), IF ~xl~q'~D. IN COMPLETING THIS APPLICATION, I HEREBY AUTHOI~IZE THF.;..a'gUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ~5 MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WI(~~OF THIS APPLICATION. Signature Oard of Trustees ApplicatiO Ab'£uORI ZATION (where the applicant is not the owner) (print owner of property) (malllng address) (> (Agent) ~ i~i ~ to apply for permit(s) rd of Town Trustees on my behalf. ~ (~r's signatt~re) from the APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics omhibits conflicts of interest on the oart of town officers and emnlovces. The ouroose of this form is to orovide information which can alert the town of oossible conflicts of interest and allow it to ~ake whatever action is necessary to avoid same. ~Last name, fu~t name, r~iddle initial, unless you am applying in thc name of someone else or other entity, such as a company. I f so, indicate thc other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (lf "Other", name thc activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest "Basiness interesf means a business, i nclud lng a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a co~oration in which the town officer or employee owns more than 5% of the shams. YES NO ~, If you answered "YES", complete thc balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of Cbc shares of the corporate stock of the applic0nt (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); __.C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I 2ooJ_